Abstract
Introduction Though myopia management options are available within the UK, many myopic children are still prescribed single vision correction.
Aims The aim was to ascertain factors which may be limiting the implementation of myopia management into UK clinical practice and its uptake by patients. This was investigated through the attitudes and perspectives of Eyecare Practitioners’ (ECPs).
Methods Between July and November 2022, online focus groups were conducted with UK ECPs from various roles in primary and secondary eyecare services. Participants were encouraged to discuss how myopia and myopia management is viewed within the UK, their experiences of myopia management in practice, and any barriers perceived to be limiting the prescribing of these management options. The discussions were transcribed and analysed thematically.
Results Forty-one ECPs participated across seven focus groups. Several barriers were identified. Less experienced ECPs seek more definitive guidance for myopia management to affirm their decision making. ECPs also seek clarity on their duty of care expectations, with concern over possible future litigation if a patient had not been managed ‘appropriately’. The greatest barrier appears to be financial – cost of treatment limits uptake and sometimes affects ECPs motivation to promote myopia management, while practices are lacking a financial incentive to provide the service. Many reported barriers were indicative of systemic problems within UK eyecare delivery, such as commercial pressures, inadequate NHS funding, and poor public awareness of paediatric eyecare.
Conclusion Improving accessibility and uptake of myopia management will require change at various levels, from individual ECPs through to wider stakeholders in UK eyecare provision.
Acknowledgements Funded by the Shool of Optometry and Vision Science, University of Bradford
